Future considerations for clinical dermatology in the setting of 21st century American policy reform: The Relative Value Scale Update Committee - 14/03/18

Doi : 10.1016/j.jaad.2017.11.035

John S. Barbieri, MD, MBA ^a,^⁎ , Harrison P. Nguyen, MBA, MPH ^b, Howard P. Forman, MD, MBA ^c, Jean L. Bolognia, MD ^d, Scott A.B. Collins, MD ^e
^a Department of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
^b Baylor College of Medicine, Houston, Texas
^c Department of Public Health (Health Policy), Economics, and Management, Yale University, New Haven, Connecticut
^d Department of Dermatology, Yale School of Medicine, New Haven, Connecticut
^e private practice, Tigard, Oregon

^∗Correspondence to: John S. Barbieri, MD, MBA, 2 Maloney, 3600 Spruce St, Philadelphia, PA 19104.2 Maloney, 3600 Spruce StPhiladelphiaPA19104

Abstract

The American Medical Association-Specialty Society Relative Value Scale Update Committee, also known as the RUC, plays a critical role in assessing the relative value of physician services and procedures. This committee provides access for all physicians, including dermatologists, to the reimbursement process. Since the introduction of the Resource-Based Relative Value Scale by Medicare, the RUC has done important work to evaluate and refine reimbursement for physician services. The RUC recommendations have also led the Current Procedural Terminology (CPT) Editorial Panel to develop additional reimbursement codes as new procedures and services are developed. In this article (from the series Future Considerations for Clinical Dermatology in the Setting of 21st Century American Policy Reform), we will review the RUC, including its history and membership, the RUC update process, and a brief discussion of a few issues of particular importance to dermatologists.

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Abbreviations used : AMA, APM, CPT, CMS, GPCI, RAW, RBRVS, RUC, RVUs